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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003092 <br />Receipt # <br />Date <br />5975 <br />Nick H. Gray <br />Permit: <br />000000000 <br />26125-mr1 14300-01 1 Minerals Annual Fees <br />M-2003-092, fees paid by Hard-Rock Paving & Redi-Mix, Ift. <br />06/29/2009 <br />M2003092 <br />$791.00 <br />Receipt Total- $791.00 <br />Page 1 of 1